| NPI | 1124512371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: Ma43137) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL Ma43137) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL Ma43137) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-04-03 |