| NPI | 1760641104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 60313598) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 028116-1) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2013-07-16 |