| NPI | 1760547426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 06696) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 00009808) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2014-06-30 |