NPI | 1194011684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 00008073) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1349082) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |