| NPI | 1710726195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT129406) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX MT129406) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2025-02-18 |