| NPI | 1295208783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |