NPI | 1326110800 |
---|---|
Former Name | BARBARA J COUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 265) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 141724) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2008-06-25 |