| NPI | 1134662802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 84023) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 35946) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |