| NPI | 1932920782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-12145) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |