| NPI | 1063651578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 07879) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NC 300931) |
| 376K00000X Nurse's Aide (Licence: NC 300931) | |
| Enumeration Date | 2009-02-08 |
| Last Update Date | 2009-02-08 |