| NPI | 1720718273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: VA 2305215179) |
| 2251S0007X Physical Therapist, Sports (Licence: DC 210002367) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-07-15 |