NPI | 1750094660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5035) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12960) |
Enumeration Date | 2023-01-05 |
Last Update Date | 2023-02-27 |