| NPI | 1881972537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17468) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 10468) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |