| NPI | 1619942760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 01972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15198) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-11-07 |