| NPI | 1841262854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007166) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2009-02-24 |