| NPI | 1467161737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26557) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5295) |
| 225100000X Physical Therapist (Licence: RI PT03788) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2024-07-16 |