| NPI | 1639424799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017702) |
| 2251X0800X Physical Therapist Orthopedic (Licence: OH PT017702) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2025-03-25 |