| NPI | 1316708084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA LMT014583) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN065382) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |