| NPI | 1992285035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211622) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-08-10 |