| NPI | 1649358573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00008877) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: OR GCFP1653) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: OR 1653) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: WA MA00008877) | |
| 225700000X Massage Therapist (Licence: NC NCMMT0019) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-31 |