NPI | 1205442167 |
---|---|
Other Name | BRENDA LILIANA LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT127041) |
Additional Taxonomies | 173C00000X Reflexologist (Licence: TX MT127041) |
Enumeration Date | 2020-09-16 |
Last Update Date | 2020-09-16 |