| NPI | 1346562519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT018792) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031905) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2025-05-30 |