| NPI | 1407229867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871886) |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2023-02-09 |