| NPI | 1285212811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03558) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299904) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-11-18 |