| NPI | 1699882472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 13229) |
| 225100000X Physical Therapist (Licence: CT 006442) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-09-19 |