| NPI | 1902310154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MN 1839) |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: MN 1839) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |