| NPI | 1891967543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM MT9403) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0575) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-11-30 |