| NPI | 1457469033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 372-19) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 535-046) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-08-07 |