| NPI | 1528732393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT5000016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214569) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-09-15 |