| NPI | 1215388640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03351) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60570694) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2021-08-11 |