| NPI | 1851835755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT292542) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-12-20 |