NPI | 1952575805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2694) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MD MO4549) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2024-01-29 |