| NPI | 1558450114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60511945) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7453) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-04-29 |