| NPI | 1982477550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-16678) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ 16678) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |