| NPI | 1316134372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42269) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011861) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2025-10-28 |