| NPI | 1831495605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 5398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT00506) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |