| NPI | 1952602294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL Ma91115) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: GA MT000465) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2019-07-09 |