| NPI | 1598508723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA53802) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL MA53802) |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-06-15 |