| NPI | 1972495190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA0333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN100917) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2026-05-13 |