| NPI | 1750788527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02767) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2021-12-23 |