NPI | 1043983059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 2676-19) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 13256-146) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2022-09-16 |