| NPI | 1922520899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 14503-24) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2019-02-25 |