| NPI | 1962881136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2006029934) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA68434) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |