| NPI | 1174112353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 7550) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NH 33845) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |