| NPI | 1558699900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 17713) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 8840) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |