| NPI | 1093284762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT122756) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX R6T6W9Z2) |
| 376K00000X Nurse's Aide (Licence: TX NA0060025002) | |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2018-11-25 |