| NPI | 1922262385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA0022359) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA001851) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |