| NPI | 1144651001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IN MT21304750) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY Ky-4832) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |