| NPI | 1598707556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 01444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 8636) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-11-12 |