| NPI | 1699541441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC CP044422T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216174) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2025-05-19 |