| NPI | 1235296849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-798) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00005952) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-06-09 |