| NPI | 1518291681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037341-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02239) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2019-01-22 |