| NPI | 1164037065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61188988) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 63665) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-06-16 |