| NPI | 1902624026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM NM-2024-0097) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-10851) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |