| NPI | 1740767979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03328) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MA 23823) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-09-22 |