| NPI | 1871202150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215497) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-07-26 |