| NPI | 1487413480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-29449) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: AZ P57973538) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-05-16 |