| NPI | 1255655015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT- 9946) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI Mat-9946) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2020-07-24 |