| NPI | 1659716900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 02281) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |