NPI | 1730815333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12767) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64482) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2022-07-26 |