| NPI | 1376763599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID 996) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-06-19 |