| NPI | 1700516200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12599) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-07-30 |