| NPI | 1831613942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2172) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-06-06 |