| NPI | 1154831550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA msg010374) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma66694) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2019-09-06 |