| NPI | 1417177999 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MM9387)  | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA14283)  | 
| Enumeration Date | 2007-04-26 | 
| Last Update Date | 2007-07-08 |