| NPI | 1033681309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03048) |
| 225100000X Physical Therapist (Licence: VA 2305212391) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |