| NPI | 1053589721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13083) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02121) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2019-05-23 |