| NPI | 1609254333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 026472-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 240288) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2017-09-28 |