| NPI | 1790036192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: WA PT60293225) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60293225) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2025-03-17 |