| NPI | 1124468756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT029175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX RN815663) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |