| NPI | 1801099742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7857) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-05-17 |