| NPI | 1316493919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: MA 12972) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: MA 12972) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |