| NPI | 1396553921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: RI MT02483) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 18212-MT-MT) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |