| NPI | 1770436172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT022258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT034118) |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-04-17 |