| NPI | 1114968195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01666) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: RI PT01666) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-01-11 |