| NPI | 1972305605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT8366) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP043257T) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-08-22 |