| NPI | 1366854135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1244853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.014703) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2025-04-22 |