| NPI | 1659884419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT17009) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT01116500) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2022-03-29 |