| NPI | 1205519717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27031) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-10-30 |