| NPI | 1356593388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-11744) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: AZ MT-11744) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-23 |