NPI | 1376422709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2472E0500X Technician, Other, EEG (Licence: MA E6866) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MA MT-12276) |
Enumeration Date | 2025-08-29 |
Last Update Date | 2025-08-29 |