| NPI | 1962564096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 004251) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-12-12 |