| NPI | 1093078214 |
|---|---|
| Former Name | ALICIA KREUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: OR 19184) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2015-11-18 |