| NPI | 1831897792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002240) |
| 225100000X Physical Therapist (Licence: VA CP027693T) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2025-01-06 |