NPI | 1093575250 |
---|---|
Former Name | ELISABETH ANNE PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 18838) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-16618) |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-03-22 |