| NPI | 1679302897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 21419) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 13583) |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-07-27 |