| NPI | 1427176072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-17176) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA45357) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-05-19 |