| NPI | 1083566442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT022217) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-08-11 |