| NPI | 1649214156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007777) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-12-23 |