NPI | 1326497892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 80629) |
Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL 9420096) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-07-26 |