| NPI | 1538697057 |
|---|---|
| Former Name | CHRISTINE G MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 5618) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: NC 5618) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2017-05-29 |