| NPI | 1609209527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 013546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9463) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-01-04 |