| NPI | 1174763726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA 005642) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT005642) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2023-09-13 |