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 |