| NPI | 1467607903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 21431) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 35852) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |