| NPI | 1619489432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03058) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2025-04-04 |