| NPI | 1285499400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16936) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: VA CP048094T) | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-12-09 |