| NPI | 1518730142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA54006) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN1278991) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |