| NPI | 1952006348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA31128) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |