| NPI | 1922508399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1279216) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2024-09-09 |