| NPI | 1386895894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60041800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011977) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-07-27 |