| NPI | 1891982203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22262) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2008-04-11 |