| NPI | 1154386266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 00249) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand (Licence: RI 9105000919) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |