| NPI | 1497636252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT022029) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-10-22 |