| NPI | 1104436344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020215) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2025-04-14 |