| NPI | 1851670707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 6888) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1247) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2025-10-14 |