| NPI | 1013430230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4251) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2026-04-09 |