| NPI | 1093965121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 00937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 8521) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |