| NPI | 1992812549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0072377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02086) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-04-15 |