| NPI | 1689717423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11960) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: RI PT01367) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-01-05 |