| NPI | 1427632694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008243) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2026-01-22 |