| NPI | 1972876597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: TN MT 0000006204) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: FL MA47493) |
| 225700000X Massage Therapist (Licence: FL MA47493) | |
| 225700000X Massage Therapist (Licence: TN MT 0000006204) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |