| NPI | 1396676623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH CP058089T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 17164) |
| Enumeration Date | 2026-05-26 |
| Last Update Date | 2026-06-29 |