| NPI | 1790214799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT015293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60752712) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-08-15 |