| NPI | 1013242734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA WA60081938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18536) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60174566) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2015-10-13 |