| NPI | 1710277652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DE MT-0002992) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DE MT-0002992) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2012-01-26 |