| NPI | 1336929918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA66517) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5253572) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |