NPI | 1710403456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64137) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: ID 2998) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2024-12-11 |