| NPI | 1164740585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 023640-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA 582213-09) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |