| NPI | 1699731315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010080) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-05-10 |