| NPI | 1740201441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: RI PT01943) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5509) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-03-14 |