| NPI | 1639299464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT00277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 277) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2026-01-07 |