| NPI | 1093598161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020655) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 14005) |
| 225100000X Physical Therapist (Licence: PA PT033318) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-08-27 |