| NPI | 1912220054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 1474) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: NC 1474) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2012-11-16 |