| NPI | 1447385729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 3143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02088) |
| 225100000X Physical Therapist (Licence: SC 5623) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-04-26 |