| NPI | 1063958619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 62968) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM 27552) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |