NPI | 1811335466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019008767) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001759) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2013-06-05 |