| NPI | 1922279934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI pt01541) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15149) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |