| NPI | 1134753346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03591) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1293460) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-11-28 |