| NPI | 1992219356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12601) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60812630) |
| 225100000X Physical Therapist (Licence: OR 62887) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-07-28 |