| NPI | 1427616150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA-57930) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: FL MA-57930) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: FL CRT-91914) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-01-16 |