| NPI | 1275763351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL ma55932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9204907) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |