| NPI | 1750998258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD R02329) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT2520) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-02 |