| NPI | 1427184688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PR 0616) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 002630) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2017-05-11 |