| NPI | 1689247314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018727) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-11-12 |