| NPI | 1821628827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2382) |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2024-06-25 |