| NPI | 1508235417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2023014392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015027078) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-08-26 |