| NPI | 1285469239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002594) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 306633) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-12-05 |