| NPI | 1851455414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 6222) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010220) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-04-06 |