| NPI | 1013702786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PT0020492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021527) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |