| NPI | 1326322074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18838) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02957) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2019-06-17 |