| NPI | 1871896266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 27245) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 49777) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2016-12-01 |