| NPI | 1265627061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA21324) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2248) |
| 225700000X Massage Therapist (Licence: FL MA32174) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2010-04-05 |