| NPI | 1972770345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2145) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 2182) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |