| NPI | 1174036883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23361) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2020-09-24 |