| NPI | 1710425822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002418) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-05-17 |