| NPI | 1730950783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019017997) |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: VA 86083840) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |