| NPI | 1720545510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 14521) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MAS-3178) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-12-07 |