| NPI | 1225424427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20570) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02663) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |