| NPI | 1326769340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 969704) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |