| NPI | 1932679321 |
|---|---|
| Former Name | NATWADEE LIPPOLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 007710) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027189) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-10-20 |