| NPI | 1144266230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT-00010460) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT22704) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00010460) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-02-22 |