| NPI | 1346638103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014039448) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-07-14 |