NPI | 1184073512 |
---|---|
Former Name | RACHEL GOOGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: ME RN63317) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT4330) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2016-06-07 |