| NPI | 1841537156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02548) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2014-05-19 |