| NPI | 1518109230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01855) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |