| NPI | 1598967390 |
|---|---|
| Former Name | KATHERINE ELIZABETH HAEGELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9517) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-09-25 |