| NPI | 1871697375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225700000X Massage Therapist (Licence: NM 3940) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |