| NPI | 1588081012 |
|---|---|
| Former Name | DINA MARIE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-2555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 34214) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2019-06-12 |