| NPI | 1861001083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14525-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9900) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-04-25 |