| NPI | 1992164180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MI 7501008177) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2025-03-23 |