| NPI | 1225652746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031250) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213857) |
| 225100000X Physical Therapist (Licence: DC PT872644) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2023-06-15 |