| NPI | 1487943338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A3203) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 16369) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2020-01-15 |