| NPI | 1447390026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003959) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: WA PT00003959) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00003959) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-03-17 |