| NPI | 1831401405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01808) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2018-02-26 |