NPI | 1912932070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1007474) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT013300) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2011-06-08 |