| NPI | 1780401711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL26538) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-12-20 |