| NPI | 1477289668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215085) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-10-29 |