| NPI | 1235821265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215747) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-12-22 |