| NPI | 1306597141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA98294) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0015111) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |