| NPI | 1154513935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT00377P) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 135568) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |