| NPI | 1780149203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP035086T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT021296) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2025-04-23 |