| NPI | 1699168245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03066) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2021-02-24 |