| NPI | 1497828131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI RI01768) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: RI 01768) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-01-24 |