| NPI | 1457296808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV CP053168T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021534) |
| Enumeration Date | 2026-04-22 |
| Last Update Date | 2026-04-22 |