| NPI | 1043093834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215961) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-10-08 |