| NPI | 1003398546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 01215) |
| 225100000X Physical Therapist (Licence: NH 4343) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |