| NPI | 1598716516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10356-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7715) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-11-07 |