| NPI | 1689282170 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 172A00000X Driver |
| 1744G0900X Specialist, Graphics Designer | |
| 347C00000X Private Vehicle | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |