| NPI | 1548714918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26112) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT022026) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2025-09-05 |