| NPI | 1619511292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29312) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872534) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-05-02 |