| NPI | 1245700079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23746) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2022-04-08 |