| NPI | 1649760208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13100) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05012903A) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-09-12 |