| NPI | 1013529858 |
|---|---|
| Former Name | AMBER NICOLE KYUROV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2020027163) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 265140) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |