| NPI | 1821324286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02256) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2017-04-03 |