| NPI | 1972070407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005736) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT012721) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2025-09-17 |