| NPI | 1972723559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014158) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-09-25 |