| NPI | 1528851714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI CP044814T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP042472T) |
| 225100000X Physical Therapist (Licence: OH PT021540) | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-30 |