| NPI | 1013638436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11716) |
| 225100000X Physical Therapist (Licence: DC PT210002275) | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-08-07 |