| 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 |