| NPI | 1295952430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA110283) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA22695) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-07-07 |