| NPI | 1053138685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047012) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002406) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |