| NPI | 1982389235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 5077) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-04-15 |