| NPI | 1669617486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009120) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02187) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2013-06-05 |