| NPI | 1538110945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15317) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-01-09 |