| NPI | 1225194715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22956) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |