NPI | 1336266394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-2171) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0259) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-16 |