| NPI | 1457860322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017808) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040974) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2025-12-10 |