| NPI | 1356061337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014020) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN090010) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |