| NPI | 1467330498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 17520-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 14146) |
| 225100000X Physical Therapist (Licence: CO CP050245T) | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2026-02-18 |