| NPI | 1639930076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 2789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 187658) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |