| NPI | 1972154961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 121450) |
| Enumeration Date | 2019-09-22 |
| Last Update Date | 2019-09-22 |