| NPI | 1801526876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002125) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-10-30 |