| NPI | 1609132596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT00808) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5309) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-11-12 |