| NPI | 1215231535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT12048) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225200000X Physical Therapy Assistant (Licence: HI PTA18) | |
| 225700000X Massage Therapist (Licence: HI 12046) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2024-05-08 |