| NPI | 1053806091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: NM 01038) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 7334) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-09-08 |