| NPI | 1780836361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016740) |
| 225100000X Physical Therapist (Licence: OK 4624) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2021-09-30 |