| NPI | 1932082658 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021949) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC CP048259T) | 
| Enumeration Date | 2025-07-29 | 
| Last Update Date | 2025-07-30 |