| NPI | 1558585042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 012188) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2022-12-27 |