| NPI | 1790800043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227006002) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: IL 227006002) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-08-05 |