| NPI | 1760461230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT11094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT10104) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2025-06-23 |