| NPI | 1295611978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL88990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021977) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-21 |