| NPI | 1326095175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16930) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 01999) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-02-04 |