| NPI | 1992205082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.023943) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NPCN-16998-6532) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-11-26 |