| NPI | 1730557232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21598) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02812) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-06-22 |