| NPI | 1942685656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11555) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2022-03-04 |