| NPI | 1306344320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 6105) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-21279) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2025-08-28 |