| NPI | 1306739537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: DC PT210002569) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: VA 2305217551) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2026-01-29 |