| NPI | 1194958512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL18915) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02237) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2023-12-29 |