| NPI | 1689497760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021445) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-10-16 |