| NPI | 1205200896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209242) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871787) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2021-12-28 |