| NPI | 1396597068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS P319998) |
| 225700000X Massage Therapist (Licence: MS LMT2937) | |
| 225700000X Massage Therapist (Licence: GA LMT014437) | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |