| NPI | 1730534280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT008985) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 384336) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |