| NPI | 1881433373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13488) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-11-11 |