| NPI | 1700433216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03210) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27224) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-11-06 |