| NPI | 1093114555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034926) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02640) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-09-04 |