| NPI | 1376226472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL80959) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-09-10 |