| NPI | 1245755297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60740913) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10797) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-01-07 |