NPI | 1033722145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OK 102510) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 70432) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |