| NPI | 1063739514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 1469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1118416) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |