| NPI | 1598496739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002136) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-04-28 |