| NPI | 1639572316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60509091) |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2022-03-04 |