| NPI | 1316831449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002562) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-09-02 |