| NPI | 1154063972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 210002131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29372) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2023-12-21 |