| NPI | 1669124004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 27028878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 935380) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2026-06-03 |