| NPI | 1316452634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA51038) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA22980) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |