| NPI | 1649655085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NV NVMT6406) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NV 680240156) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-01-10 |