| NPI | 1922866151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30397) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020914) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-06-03 |