| NPI | 1013293281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02556) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA00835) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2013-03-25 |