| NPI | 1497144877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.021538) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN 102176-meds) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |