| NPI | 1033623780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A-1328) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 4837) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-04-23 |