| NPI | 1386428332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0020259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03713) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-09-02 |