| NPI | 1437598927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60397519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06464) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OR 06464) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-04-16 |