| NPI | 1831947472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1391595) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH CP048198T) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-09-08 |