| NPI | 1922595792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IN MT21706344) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU00001939) |
| 225700000X Massage Therapist (Licence: MI 7501010943) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-05-13 |