| NPI | 1023480878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT001411) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT545278) |
| 171W00000X Contractor (Licence: FL DS2100020) | |
| 376K00000X Nurse's Aide (Licence: FL CNA322852) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |