| NPI | 1265976799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PR 00-71) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |