| NPI | 1811381056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871689) |
| 225100000X Physical Therapist (Licence: VA 2305208685) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-02-22 |