| NPI | 1316220759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00086500) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: NJ 14-465) |
| 247200000X Technician, Other (Licence: NJ CT-10502) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2023-06-13 |