| NPI | 1255621637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ID PN-9105) |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |