| NPI | 1730594755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3891) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-06-28 |