| NPI | 1679975239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02738) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37981) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2020-11-30 |