| NPI | 1255641254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38851) |
| 225100000X Physical Therapist (Licence: MD 24884) | |
| 225100000X Physical Therapist (Licence: MA 19669) | |
| Enumeration Date | 2010-10-09 |
| Last Update Date | 2016-06-15 |