| NPI | 1588941769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 01531) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008805) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |