| NPI | 1245698216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA76356) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA 187366) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-23 |