| NPI | 1427520113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 138811) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 9580749-4701) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |