| NPI | 1962877241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03228) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22095) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2021-12-29 |