| NPI | 1609095066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 4537) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MN 4537) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-10-21 |