| NPI | 1396565263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61558248) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215866) |
| 225100000X Physical Therapist (Licence: DC PT210002342) | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |