NPI | 1629046602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12766) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10575) |
225100000X Physical Therapist (Licence: OR 5215) | |
Enumeration Date | 2006-03-08 |
Last Update Date | 2022-10-19 |