| NPI | 1134492036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA63026) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL ma63026) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2022-01-07 |