| NPI | 1316204860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL20021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02447) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2023-07-24 |