| NPI | 1811627284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-6324) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-15713) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-12-19 |