| NPI | 1306358155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 168889) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 103489) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2021-03-11 |