| NPI | 1023066800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT1796) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT4999) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-06-11 |