| NPI | 1427626290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD R03340) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DE MT-0015118) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |