| NPI | 1427473883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 3047-146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 10816-146) |
| 225700000X Massage Therapist (Licence: WI 4559-146) | |
| 225700000X Massage Therapist (Licence: WI 2742-146) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |