| NPI | 1427746544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216708) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-10-08 |