| NPI | 1760562060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19568) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-07-12 |