| NPI | 1235893165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA101595) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5230290) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-12-06 |