| NPI | 1225412760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 666) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 6021) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |