| NPI | 1982216834 |
|---|---|
| Professional Name | ROSE A STOUDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 1314) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 00020119) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |