| NPI | 1194607622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 011533) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WV 004056) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |