| NPI | 1205596657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: TX MT129213) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT129213) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2022-04-18 |