| NPI | 1962051177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 61402917) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 30862) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-02-06 |