| NPI | 1245079912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009173) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH CP051200T) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2026-04-22 |