| NPI | 1477506616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009834) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00009834) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-10-27 |