| NPI | 1265681456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA21381) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA28457) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2009-10-27 |