| NPI | 1154568426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA55217) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: FL MA 55217) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2024-01-11 |