| NPI | 1447524434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8921) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60091984) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2013-03-15 |