| NPI | 1831249473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN PT -1486) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-10-26 |