| NPI | 1144748534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872161) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2025-07-28 |