| NPI | 1649980723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03951) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 6396) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2025-04-03 |