| NPI | 1982152526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22625) |
| 225100000X Physical Therapist (Licence: OH PT018451) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2025-03-03 |