| NPI | 1750790283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872383) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2026-09-12 |