| NPI | 1396277950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG005739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN627764) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |