| NPI | 1548229669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009135) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2025-07-23 |