| NPI | 1831902329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 42260) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-12-10 |