| NPI | 1427184639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 11996-146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M02767) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2021-05-30 |