| NPI | 1801933148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI HI458) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI HI4119) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-11-19 |