| NPI | 1023289600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist (Licence: PA CO250596) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |