| NPI | 1396576450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP051789T) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-12-18 |