| NPI | 1992694533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT021868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP051027T) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-11-18 |