| NPI | 1437421880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225700000X Massage Therapist | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2014-03-14 |