| NPI | 1932733300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0020892) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-10-29 |