| NPI | 1093983124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00025244) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA33480) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |