| NPI | 1699519207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303360) |
| 225100000X Physical Therapist (Licence: VA 2305217218) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2025-09-09 |