| NPI | 1922792944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: AZ MT-23083) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-23083) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-07-23 |