| NPI | 1083018816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226300000X Kinesiotherapist (Licence: NY 27 028490) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27 028490) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |