| NPI | 1851255814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT04084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033840) |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |