| NPI | 1245520220 |
|---|---|
| Former Name | EILEEN CORREIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 0006424) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CT 9995656) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |