| NPI | 1811261134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02982) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204799) |
| 225100000X Physical Therapist (Licence: PA 025270) | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2017-05-08 |