| NPI | 1578746541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 362) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 3929) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |