NPI | 1245769538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: HI PTA-192) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-14701) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-08 |