NPI | 1831386895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-11-06 |