| NPI | 1770682064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 7816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7816) |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-04-02 |