| NPI | 1902246788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: RI 02619) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: RI 02610) |
| 225100000X Physical Therapist (Licence: RI PT00431-G) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2019-02-14 |