| NPI | 1124428255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02709) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21508) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-10-18 |