| NPI | 1023232550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01372) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |