| NPI | 1972059475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22525) |
| 225100000X Physical Therapist (Licence: CT 11136) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2017-03-15 |