| NPI | 1174874341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870228) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2026-05-29 |