| NPI | 1255887980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872082) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-10-08 |