| NPI | 1093878027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21838) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013282) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-07-30 |