| NPI | 1932965597 | 
|---|---|
| Former Name | THIPPAWAN PANDEE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019017850)  | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT2000001342)  | 
| Enumeration Date | 2024-02-22 | 
| Last Update Date | 2024-02-22 |