| NPI | 1891327029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 28816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872607) |
| 225100000X Physical Therapist (Licence: VA 2305213406) | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-01-20 |