| NPI | 1235528472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38170) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |