| NPI | 1144365412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010401) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305207847) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-11-17 |