NPI | 1407422033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MD R02544) |
Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: VA 0019017981) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-06-03 |