| NPI | 1912681628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019144) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2025-05-13 |