| NPI | 1467056283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1339846) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-06-13 |