| NPI | 1477151926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP035612T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12685) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-12-18 |