NPI | 1508233750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60599455) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2015027179) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2015-12-02 |