| NPI | 1376871103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2005015267) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 225400000X Rehabilitation Practitioner | |
| 226000000X Recreational Therapist Assistant | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2021-02-25 |