| NPI | 1447261557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01710) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-02-21 |