NPI | 1326822107 |
---|---|
Former Name | BARBARA GAIL MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT023126) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 419601-00) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-08-24 |