| NPI | 1750391397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 1859) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-02-08 |