| NPI | 1275918336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101387) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 934890) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2017-03-06 |