| NPI | 1871556886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002906) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 00002906) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-08-11 |