| NPI | 1518780444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 804602274) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX 804602274) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |