| NPI | 1295995538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-7292) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: HI MAT-7292) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-02-16 |