| NPI | 1922215391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA18706) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA39476) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |