| NPI | 1952467987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60045924) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 4147) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-04-21 |