| NPI | 1003050964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA52081) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT711) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2014-04-08 |