| NPI | 1972296028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 106328) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 20241) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |