| NPI | 1114490604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NE 2595) |
| Additional Taxonomies | 173C00000X Reflexologist |
| 174H00000X Health Educator | |
| 347C00000X Private Vehicle (Licence: NE G01-370662) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |