| NPI | 1003781691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 523) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NE 1457) |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |