| NPI | 1730544941 |
|---|---|
| Former Name | ELIZABETH LAVEIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 023678-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0236781) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-11-24 |