| NPI | 1538698915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60954729) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 60954729) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-03-17 |