| NPI | 1467201160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021132) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2026-04-07 |