| NPI | 1245843911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 301864) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: RI PT03301) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-04-02 |