| NPI | 1326279514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02225) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2022-03-15 |