| NPI | 1720316730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 4695-046) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 571550-09) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |