| NPI | 1679740781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT1396) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME ME428535) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |