| NPI | 1295926814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02101) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2017-03-16 |