| NPI | 1255040986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61327971) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |