| NPI | 1386654705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: RI PT02055) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: RI PT02055) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-06-29 |