| NPI | 1326623935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225A00000X Music Therapist (Licence: UT 9203390-4010) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-22 |