| NPI | 1629192497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: WA PT00009853) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00009853) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-01-03 |