| NPI | 1104306281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002294) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT027241) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-12-27 |