| NPI | 1528522737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT60863092) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60863092) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60863092) | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |