| NPI | 1710110853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11333) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-08-06 |