| NPI | 1609541028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871758) |
| 225100000X Physical Therapist (Licence: VA 2305210250) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-03-15 |