| NPI | 1457844037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL27471) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: RI PT03107) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-03-15 |