| NPI | 1205435161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501002519) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: 7501002519) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-11-05 |