| NPI | 1275289175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-28256) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT133145) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |