| NPI | 1245512706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2089830) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT109203) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2015-01-13 |