| NPI | 1033320247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT00978) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 9239) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2007-07-08 |