| NPI | 1679812754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 7033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01843) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |