| NPI | 1578304846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13570) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2026-06-11 |