| NPI | 1952785297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60230865) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-06-22 |