| NPI | 1033931191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX MT141910) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT141910) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |