| NPI | 1447537162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2023-2220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6942) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2023-07-27 |