| NPI | 1366549743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PTO1679) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-12-23 |