| NPI | 1114103090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00009633) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 2845) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2010-03-09 |