| NPI | 1396336913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT200001308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28278) |
| 225100000X Physical Therapist (Licence: VA 2305214070) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-01-17 |