| NPI | 1710138177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 979) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 1575) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |