| NPI | 1477353076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13483) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-20 |