| NPI | 1316984891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60047288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012776) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070015621) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-05-21 |