| NPI | 1174997076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-16131) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: HI 97) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2024-02-17 |