| NPI | 1366619181 |
|---|---|
| Former Name | ADRIENNE MICHELE DYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 018623-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG003217) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2015-07-13 |