| NPI | 1568045771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03498) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047039-1) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-09-28 |