| NPI | 1295226298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-15483) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ 15483) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |