| NPI | 1346657871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-6231) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MT 6734) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-09-03 |