| NPI | 1598636177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL88606) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT04069) |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-10-15 |