| NPI | 1720706401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD CP014834T) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-12-05 |