| NPI | 1154018729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501010652) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA104190) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-04-16 |