| NPI | 1245438571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA29042) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma# 45010) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2025-01-29 |