| NPI | 1104142850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 016273-1) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 318395) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2014-01-14 |