| NPI | 1154596005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 8046) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7779) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-02-14 |