| NPI | 1831346808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH OH-011653) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2026-01-26 |