| NPI | 1972947190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI LMT 14391) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60113271) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2016-04-19 |