| NPI | 1891222709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 4669) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2019-04-29 |