| NPI | 1295922763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 49480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9528327) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2020-11-12 |