| NPI | 1861038671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT27096) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT0016132) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2022-12-06 |