| NPI | 1265682801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02324) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2019-03-09 |