| NPI | 1215619929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215864) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-08-05 |