| NPI | 1124306220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8764) |
| 225100000X Physical Therapist (Licence: MA 24042) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-05-20 |