| NPI | 1508287608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NV NVMT.628) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 352467-4701) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |