| NPI | 1083952675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 8074) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NC 8074) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2014-02-11 |