| NPI | 1144373713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28392) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-11-23 |