NPI | 1730784513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |