| NPI | 1043025661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 235274) |
| 225100000X Physical Therapist (Licence: OH PT021561) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-08-11 |