| NPI | 1669768818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1311010) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-06-02 |