| NPI | 1740308352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NE 3253) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 758) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-12-03 |