| NPI | 1972766913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18243) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2014-11-03 |