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 |