| NPI | 1023090149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00006297) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT10903) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-10-22 |