| NPI | 1932233848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA15835) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA39295) |
| 225700000X Massage Therapist (Licence: FL MM16788) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-02-02 |