| NPI | 1407281777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL20719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02634) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-10-15 |