| NPI | 1245282805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PT9234) |
| 225100000X Physical Therapist (Licence: CA PT11336) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |