| NPI | 1235218199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 45172) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 698769816) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-07-26 |