| NPI | 1346873577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048797-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 200001333) |
| 225100000X Physical Therapist (Licence: VA 2305213402) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-10-14 |