| NPI | 1134810393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 20557) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NC 20557) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-02-27 |