| NPI | 1588303606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-09980) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: AZ MT-09980) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |