| NPI | 1215636691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031021) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-06-03 |