| NPI | 1194132787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 4372) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2021-06-10 |