| NPI | 1669701769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 11466) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8258) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |