| NPI | 1457899288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OK 172258-0) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 0043678) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-02-01 |