| NPI | 1578933040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT299778) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-05-31 |