| NPI | 1558144220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002366) | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| Enumeration Date | 2023-08-16 | 
| Last Update Date | 2024-11-27 |