| NPI | 1689405136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 021304) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2025-07-02 |