| NPI | 1649941006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28650) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |