| NPI | 1235285743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA33584) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0176021) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |