| NPI | 1265033211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019015702) |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| 225700000X Massage Therapist (Licence: AZ MT-22326) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |