| NPI | 1659329464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT 00010867) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 32641) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-06-19 |