| NPI | 1497056139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10561-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9569) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2025-03-10 |