| NPI | 1871322909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13497) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-033678) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-07-09 |