| NPI | 1487267746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT009420) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-09-11 |