| NPI | 1548540784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 5318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R36964) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |