| NPI | 1194787572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT011396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015636L) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-04-22 |