NPI | 1902058902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 1582) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 101226) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2020-05-19 |