| 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 |