| NPI | 1588131015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011637) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2025-09-05 |