| NPI | 1730411810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8438) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2026-05-11 |