| NPI | 1366216350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-26671) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM MT-2023-0153) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |