| NPI | 1811651656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG011759) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-29 |