| NPI | 1982150769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022217) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-05-04 |