| NPI | 1679554935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60318927) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1127629) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2014-04-14 |