| NPI | 1720065311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9581) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027437) |
| 225100000X Physical Therapist (Licence: CA 33067) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2022-04-25 |