| NPI | 1477448744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 17380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13901) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-08-14 |