| NPI | 1881302131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-16372) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 378472-4701) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |