| NPI | 1730994062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP050961T) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-11-20 |