| NPI | 1194116996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208606) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871872) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2022-06-06 |