| NPI | 1518851328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY CP058129T) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2026-06-04 |