| NPI | 1356492110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 003619-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022063-1) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-01-29 |