| NPI | 1801492897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: HI H000566548) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 11267) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |