| NPI | 1336785088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.024541) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-08-28 |