| NPI | 1154665834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02509) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206695) |
| 225100000X Physical Therapist (Licence: FL PT25990) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |