| NPI | 1285365460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-05756P) |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |