| NPI | 1386536969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 210002550) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-08-21 |