| NPI | 1124030945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA 41299) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 41299) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |