| NPI | 1649762170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026818) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT022284) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2026-04-30 |