| NPI | 1316656077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61155354) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-09-18 |