| NPI | 1831657428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12523-24) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-11-08 |