| NPI | 1477171437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 1514724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 11893) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-07-08 |