| NPI | 1841906310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT137206) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: TX 808230) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |