| NPI | 1124905831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014963) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: GA E030738) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |