| NPI | 1588904965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 4990) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 6801) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |