| NPI | 1922946870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021682) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP053529T) |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-07-06 |