| NPI | 1598395378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872603) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2022-09-19 |