| NPI | 1154004216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031582) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-09-15 |