| NPI | 1023249950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY KY-0707) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2030736) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |