| NPI | 1578236295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12504) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MN 12457) | |
| 225100000X Physical Therapist (Licence: ND 2534) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-11-11 |