| NPI | 1023821410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502006453) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501011934) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |