| NPI | 1457601569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02497) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1222316) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-09-14 |