| NPI | 1497896005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003899) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 225100000X Physical Therapist (Licence: WA PT0003899) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-06-30 |