| NPI | 1558955377 |
|---|---|
| Former Name | LISA MARIE GAFFNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 021677-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY O21677-01) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |