| NPI | 1184856809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60783770) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MN 8385) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2018-10-25 |