| NPI | 1669828562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037621) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-09-11 |