| NPI | 1407284334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14382) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 7168) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-10-28 |