| NPI | 1962888495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872732) |
| 225100000X Physical Therapist (Licence: MD 25603) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2022-04-12 |