| NPI | 1497067524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02334) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT00309-G) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-05-08 |