| NPI | 1164642187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02648) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-11-02 |