| NPI | 1689286494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT61081002) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61081002) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2022-11-03 |