NPI | 1295903094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA13798) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL MM11331) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2008-02-14 |