| NPI | 1588406730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002467) |
| 225100000X Physical Therapist (Licence: MD 29987) | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-08-14 |