| NPI | 1013040088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 1158) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |