| NPI | 1477245496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16430-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13054) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2025-01-06 |