| NPI | 1053830307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI PT03531) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-11-11 |