| NPI | 1821726647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03662) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-05-08 |