| NPI | 1962248096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NE 3564) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2026-01-08 |