| NPI | 1386261139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03302) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2022-01-05 |