| NPI | 1881228724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 3146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 585715) |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2022-03-07 |