| NPI | 1053801233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 130243) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT035271) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |