| NPI | 1881361145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 15508-24) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-04-04 |