| NPI | 1124589635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2113766) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT112129) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |