NPI | 1235677402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06340) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A00851) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2024-01-15 |