| NPI | 1376874883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 50061) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2015-10-15 |