| NPI | 1003054255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2675) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD mo2837) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |