| NPI | 1629482948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14910) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 07256) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2014-06-14 |