| NPI | 1972905735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SD MT11486) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 9016692-4701) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2016-10-20 |