| NPI | 1649787797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA01163) |
| 225500000X Specialist/Technologist (Licence: RI PTA01163) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-03-07 |