| NPI | 1396116968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD MD4104) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT0886) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |