| NPI | 1124757034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005993A) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IN MT21104001) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |