| NPI | 1497185391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 68987) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |