| NPI | 1043988652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL27733) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03427) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2026-06-12 |