| NPI | 1316644420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT200001339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28826) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |