| NPI | 1295433720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016465) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2025-04-17 |