| NPI | 1821678723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG012830) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: PA RN593881) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |