| NPI | 1629257324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25872) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 51723) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2015-09-04 |