| NPI | 1083872246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-10263) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00023678) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |