| NPI | 1457583726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA43757) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM21516) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |