| NPI | 1740755651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MASS.MA.60895773) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MASS.MA.60895773) |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2019-02-22 |