| NPI | 1427893569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2024022485) |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2025-11-07 |