| NPI | 1831516038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: WA 60323451) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: KS 1103526) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |