| NPI | 1225267669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA50785) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019008057) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |