| NPI | 1184704371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: WA PT 60134281) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT28451) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-07-09 |