| NPI | 1295089035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA msg009226) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI003362) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2021-10-31 |