| NPI | 1336266394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-2171) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0259) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-16 |