| NPI | 1952918179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA91956) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH14649) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-11-22 |