| NPI | 1669601894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01969) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |