| NPI | 1124842026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021980) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032832) |
| 225100000X Physical Therapist (Licence: ME PT7302) | |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2026-03-17 |