| NPI | 1659987410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13250) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT31349) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-01-11 |