| NPI | 1194358713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 60943532) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 291587) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OR 61722) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2021-06-06 |