| NPI | 1336761634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT200001190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP058491T) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2026-06-12 |