| NPI | 1093540007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT138174) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG015640) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |