| NPI | 1447600275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11379) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1342424) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-10-12 |