| NPI | 1952575805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2694) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD MO4549) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-01-29 |