| NPI | 1770870321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021486) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-03-07 |