| NPI | 1629324017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM MT8614) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NM MT8614) |
| 172M00000X Mechanotherapist (Licence: NM MT8614) | |
| 173C00000X Reflexologist (Licence: NM MT8614) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2019-01-30 |