| NPI | 1205524204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010363) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |