| NPI | 1619230893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004208) |
| 225100000X Physical Therapist (Licence: CO 13851) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-11-22 |